| NPI | 1972652170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071-005624) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071005624) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2024-12-04 |